{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:07:36Z","timestamp":1787807256510,"version":"build-2784847793"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In Canada, access to palliative care varies across jurisdictions. Many health care professionals lack core palliative care competencies. To help build capacities, a pilot education program was conducted at a community hospital in Southwestern Ontario (Canada). Using Pallium Canada\u2019s Learning Essential Approaches to Palliative Care (LEAP) Hospital course, generalist hospital physicians participated in this initiative. The purpose of this investigation was to explore the impact of the LEAP Hospital course on physician attitudes, comfort, and care delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Within a Plan-Do-Study-Act framework, a mixed-methods design summarized post-course evaluations, commitment to change (CTC) statements, and interviews with learners and hospital staff. Participants completed pre-course knowledge and post-participation surveys. Group and individual interviews were conducted with learners and staff who practiced alongside LEAP learners. Descriptive statistics were completed for aggregate survey data. Thematic analysis was conducted to summarize learner and staff experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-nine physicians completed the LEAP Hospital course. Ninety-six CTC statements identified improvements in symptom management and communication. Sixteen participants participated in interviews. Learners and hospital staff noted the impact courses had on symptom and disease management and enhanced communication when discussing goals of care. Learners valued case-based learning and connecting with peers who are often siloed in practice. Participants also noted the inclusion of allied health for greater collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LEAP Hospital courses enhanced knowledge and skills and incorporated a greater palliative approach to care. Establishing a community of practice to address educational needs and strategies should be considered while supporting the inclusion of new graduates and hires.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/pmr.2024.0094","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T06:41:58Z","timestamp":1746427318000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cWe Can All Learn Together so We\u2019re All on the Same Page\u201d: Impact of a Learning Essential Approaches to Palliative Care Hospital Course on Hospitalists\u2019 Practice"],"prefix":"10.1177","volume":"6","author":[{"given":"Ashlinder","family":"Gill","sequence":"first","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Romeril","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."},{"name":"School of Nursing, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Meadows","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, University of Calgary, Calgary, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwak","family":"Rhayel","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Panza","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Klinger","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."},{"name":"University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narisa","family":"Duboff","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5974-7833","authenticated-orcid":false,"given":"Jose","family":"Pereira","sequence":"additional","affiliation":[{"name":"Division of Palliative Care, Department of Family Medicine, McMaster University, Hamilton, Canada."},{"name":"Educaci\u00f3n M\u00e9dica y Cuidados Paliativos, Facultad de Medicina y Instituto Cultura y Sociedad (ICS). Universidad de Navarra, Espa\u00f1a, Spain."},{"name":"Scientific Advisor, Pallium Canada, Ottawa, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Bellaire","sequence":"additional","affiliation":[{"name":"Family Medicine, Hamilton Health Sciences, Grimsby, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-020-07239-9"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i1010"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.06.007"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313518266"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.180"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001524"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32513-8"},{"key":"e_1_3_6_9_2","unstructured":"Reason B Geoff G. Access to Palliative Care in Canada."},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216311416697"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/pmr.2021.0023"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2021-003036"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-001862"},{"key":"e_1_3_6_14_2","volume-title":"Primary Palliative Care Capacity Through Education at a National Level: Pallium Canada and its LEAP Courses","author":"Pereira J","year":"2021","unstructured":"Pereira J. Primary Palliative Care Capacity Through Education at a National Level: Pallium Canada and its LEAP Courses.: Universidad de Navarra; Pamplona, Spain: 2021."},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12117"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.12.034"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/chp.1340240306"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221081329"},{"key":"e_1_3_6_19_2","unstructured":"Anderson R. Thematic content analysis (TCA). Descriptive presentation of qualitative data. 2007:1\u20134."},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_3_6_21_2","unstructured":"Meadows L Morse J. The Nature of Qualitative Evidence. Thousand Oaks Thousand Oaks California: SAGE Publications Inc.; 2001 [cited The Nature of Qualitative Evidence. 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